By John S. A. Collins, Tony C. K. Tham, Roy M. Soetikno
Gastrointestinal Emergencies 3E offers functional, up to date assistance for gastroenterologists, endoscopists, surgeons, emergency and acute physicians, scientific scholars and trainees dealing with sufferers offering with GI issues and/or emergencies.
Combining a symptom part, a selected stipulations part and a bit that examines issues (and suggestions) of GI tactics, concentration all through is on transparent, particular how-to counsel, to be used earlier than a approach or instantly after emergency stabilization. An evidence-based method of presentation, analysis and research is applied throughout.
New to this 3rd version are numerous fresh chapters protecting a variety of issues of strategies and particular stipulations no longer formerly featured, in addition to an intensive examine the numerous diagnostic and healing advances lately. additionally, each bankruptcy from the present variation has gone through wholesale revision to make sure it's up to date with the very newest in administration guidance and medical perform. once more, complete variety of emergencies encountered in day-by-day scientific perform may be tested, equivalent to acute pancreatitis, esophageal perforation, tablet endoscopy problems, acute appendicitis, and the problems after gastrointestinal methods. overseas instructions from the world’s key gastroenterology societies may be incorporated in correct chapters.
Gastrointestinal Emergencies 3E is the definitive reference consultant for the administration of gastrointestinal emergencies and endoscopic problems, and the right accompaniment for the modern day gastroenterologist, physician, emergency and acute physicians.
Every Emergency division, GI/endoscopy unit, medical/surgical admission unit may still make a copy shut to hand for speedy reference.
Read Online or Download Gastrointestinal Emergencies (3rd Edition) PDF
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Extra info for Gastrointestinal Emergencies (3rd Edition)
Sample text
5 [3]. 5 Management of pruritus. Topical therapy Lower bathing water temperature and use fewer or lighter clothing and bed coverings Minimize dry skin by using moisturizing soaps and applying topical moisturizers Anion‐exchange resins Cholestyramine or colestipol: start with 4 g (packet or scoop) twice daily, starting before and after breakfast, and increasing to six packets or scoops daily, separated from other medications by 2 hours Bile salts Ursodeoxycholic acid, 15 mg/kg per day Doxepin 25–50 mg once daily cholestatic disease.
Bilirubin increases on fasting. Liver enzymes are normal. The diagnosis is made by a combination of elevated bilirubin, normal liver enzymes and asymptomatic. No treatment other than reassurance is necessary. Biliary obstruction Therapy is directed at the mechanical relief of obstruction. The options include ERCP (sphincterotomy, stone extraction, stent insertion), PTC (stent insertion) or surgery. The therapeutic strategy depends on the likely etiology and local expertise. Hepatic jaundice The therapy is directed towards the underlying etiology: for example, stopping alcohol, discontinuation of a drug, antiviral agents, phlebotomy for hemochromatosis, copper chelation for Wilson disease.
Percutaneous transhepatic cholangiography Percutaneous transhepatic cholangiography (PTC) visualizes the biliary tree in 90–100% of patients with dilated ducts. PTC requires the passage of a needle through the skin into the hepatic parenchyma and peripheral bile duct. The sensitivity and specificity are comparable to ERCP. PTC may be technically more difficult in the absence of intrahepatic duct dilatation. Therapeutic procedures such as stent placement can be performed. However, bile duct stones cannot be extracted.